Vocal Cord Paralysis Resulting From Neck Injections in the Intravenous Drug Use Population
| Autor: | Kathleen A. Mccarroll, Arnold M. Cohn, Robert P. Hillstrom |
|---|---|
| Rok vydání: | 1990 |
| Předmět: |
Adult
Male medicine.medical_specialty Population Administration Cutaneous Thrombophlebitis Pseudoaneurysm Paralysis Humans Medicine Vocal cord paralysis Substance Abuse Intravenous Abscess education Internal jugular vein Aged education.field_of_study business.industry Bilateral vocal cord paralysis medicine.disease Surgery Airway Obstruction Otorhinolaryngology Anesthesia Female medicine.symptom business Vocal Cord Paralysis Neck Follow-Up Studies |
| Zdroj: | The Laryngoscope. 100:503 |
| ISSN: | 0023-852X |
| DOI: | 10.1288/00005537-199005000-00012 |
| Popis: | Intravenous drug use patients present to the head and neck surgeon when injections are directed “in the pocket,” or more appropriately, toward the internal jugular vein in the neck. The more common complications of this practice include the development of cellulitis, abscess, and venous thrombophlebitis and, potentially, pulmonary embolism and pseudoaneurysm of the carotid and subclavian arteries. Vocal cord paralysis as a result of neck injection in the intravenous drug-using population is rarely described, and a review of the literature has yielded only two reports addressing this uncommon phenomenon. During a 7½- year period between October 1981 and June 1989, nine patients presented to Detroit Medical Center with hoarseness, upper-airway obstruction, or both following the injection of heroin or related substances into the neck. Otolaryngologic evaluation demonstrated unilateral or bilateral vocal cord paralysis coincident with recent neck injections. The clinical signs and symptoms, location of the injections, acute management, and subsequent complications are catalogued. Acute management of these patients consisted of airway assurance via tracheotomies when indicated and observation for the development of cellulitis, abscess, or more life-threatening neurovascular complications. Follow-up laryngeal examinations ranged from 4 months to 4½ years and found no demonstrable return of vocal cord function in any of the nine patients. |
| Databáze: | OpenAIRE |
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